EP2231127A2 - Améliorations d'interface utilisateur pour des dispositifs médicaux - Google Patents
Améliorations d'interface utilisateur pour des dispositifs médicauxInfo
- Publication number
- EP2231127A2 EP2231127A2 EP08862094A EP08862094A EP2231127A2 EP 2231127 A2 EP2231127 A2 EP 2231127A2 EP 08862094 A EP08862094 A EP 08862094A EP 08862094 A EP08862094 A EP 08862094A EP 2231127 A2 EP2231127 A2 EP 2231127A2
- Authority
- EP
- European Patent Office
- Prior art keywords
- medical device
- medication management
- screen
- default
- programming
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14212—Pumping with an aspiration and an expulsion action
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F8/00—Arrangements for software engineering
- G06F8/60—Software deployment
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
- G16H20/17—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/35—Communication
- A61M2205/3546—Range
- A61M2205/3561—Range local, e.g. within room or hospital
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/35—Communication
- A61M2205/3576—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver
- A61M2205/3592—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver using telemetric means, e.g. radio or optical transmission
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
- A61M2205/502—User interfaces, e.g. screens or keyboards
- A61M2205/505—Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14212—Pumping with an aspiration and an expulsion action
- A61M5/14228—Pumping with an aspiration and an expulsion action with linear peristaltic action, i.e. comprising at least three pressurising members or a helical member
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14212—Pumping with an aspiration and an expulsion action
- A61M5/14232—Roller pumps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/145—Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
- A61M5/1452—Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T2200/00—Indexing scheme for image data processing or generation, in general
- G06T2200/24—Indexing scheme for image data processing or generation, in general involving graphical user interfaces [GUIs]
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T2219/00—Indexing scheme for manipulating 3D models or images for computer graphics
- G06T2219/20—Indexing scheme for editing of 3D models
- G06T2219/2016—Rotation, translation, scaling
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H70/00—ICT specially adapted for the handling or processing of medical references
- G16H70/40—ICT specially adapted for the handling or processing of medical references relating to drugs, e.g. their side effects or intended usage
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S128/00—Surgery
- Y10S128/06—Intravenous injection support
Definitions
- the present invention relates to medical devices. More specifically, the invention relates to infusion pumps that include touch screen graphical user interfaces.
- Graphical user interfaces for medical devices that display patient and treatment information have improved clinician efficiency when caring for patients.
- a challenge for designing graphical user interfaces is the need to balance the amount of information displayed on any one screen viewable be the clinician with the need to create a device that is easy to read and navigate. Too often the user is presented with an overwhelming amount of information, impeding the interaction between the user and the user interface.
- Graphical user interface design must also take into account strict design parameters as well as safety parameters. As a result, many medical devices do not provide flexibility in programming parameters, neither for the administrator nor for the clinician.
- a method and apparatus system for operating a medical device with or without a cassette in place.
- a method is disclosed for adding additional VTBI to an ongoing infusion without stopping the infusion and with maintaining the infusion parameters.
- a method and system is disclosed for changing the CCA without having to interrupt or completely stop an ongoing infusion. Quick titration buttons are provided to allow improved navigation between various delivery display screens.
- FIG. 1 is a schematic diagram of the medication management system including a medication management unit and a medical device, integrated with an information system, in accordance with the present invention
- FIG. 2 is a schematic diagram of the medication management unit, in accordance with the present invention
- FIG. 3 is a schematic diagram illustrating some of the major functions performed by the medication management unit, in accordance with the present invention.
- FIG. 5 is perspective view of a multi-channel medical device in communication with a machine-readable input device according to the present invention and shows a split screen display, having one portion associated with each channel, which is adapted to be displayed and viewed from afar during normal delivery of fluid, in accordance with the present invention;
- FIGS. 6A and 6B are screen shots of a graphical user interface for configuring a drug library parameter, in accordance with the present invention.
- FIGS. 7A and 7B are screen shots of a graphical user interface for configuring medical device specific parameters, in accordance with the present invention.
- FIG. 8 is a flow chart for a program for allowing or disallowing programming of a medical device in regards to the presence of a cassette , in accordance with the present invention
- FIGS. 9A to 9G are screen shots of a graphical user interface, illustrating changing a clinical care area, in accordance with the present invention.
- FIG. 11 is a flow chart for a program for changing a clinical care area in a single channel infusion pump, in accordance with the present invention.
- FIGS. 15A to 15C are screen shots illustrating a graphical user interface for configuring a medical device display parameter, in accordance with the present invention.
- FIG. 16 is a flow chart for a program for determining a display parameter, in accordance with the present invention.
- FIG. 20 is a flow chart for a program for determining a screen view display parameter based on the navigation shortcut buttons, in accordance with the present invention.
- FIGS. 21 A and 21 B are screen shots of various graphical user interface call back alarms, in accordance with the present invention.
- FIGS. 23A to 23C are screen shots illustrating graphical user interface alarm navigation shortcut buttons, in accordance with the present invention.
- FIG. 24 is a flow chart for a program for determining a screen view display parameter based on the alarm navigation shortcut buttons, in accordance with the present invention.
- FIGS. 26A and 26B are screen shots of a graphical user interface for configuring a dose back calculation at the medical device, in accordance with the present invention.
- FIG. 27 is a flow chart for a program for allowing or disallowing a dose back calculation at the medical device, in accordance with the present invention.
- the caching mechanism 20 is primarily a pass through device for facilitating communication with the HIS 18 and its functions can be eliminated or incorporated into the MMU 12 (FIG. 1 ) and/or the medical device 14 and/or the HIS 18 and/or other information systems or components within the hospital environment 16.
- the caching mechanism 20 provides temporary storage of hospital information data separate from the HIS 18, the medication administration record system (MAR) 22, pharmacy information system (PhIS) 24, physician order entry (POE) 26, and/or Lab System 28.
- the caching mechanism 20 provides information storage accessible to the Medication Management System 10 to support scenarios where direct access to data within the hospital environment 16 is not available or not desired. For example, the caching mechanism 20 provides continued flow of information in and out of the MMU 12 in instances where the HIS 18 is down or the connectivity between the MMU 12 and the electronic network (not shown) is down.
- the HIS 18 communicates with a medication administration record system (MAR) 22 for maintaining medication records and a pharmacy information system (PhIS) 24 for delivering drug orders to the HIS.
- MAR medication administration record system
- PrIS pharmacy information system
- a physician/provider order entry (POE) device 26 permits a healthcare provider to deliver a medication order prescribed for a patient to the hospital information system directly or indirectly via the PhIS 24.
- a medication order can be sent to the MMU 12 directly from the PhIS 24 or POE device 26.
- the term medication order is defined as an order to administer something that has a physiological impact on a person or animal, including but not limited to liquid or gaseous fluids, drugs or medicines, liquid nutritional products and combinations thereof.
- Lab system 28 and monitoring device 30 also communicate with the MMU 12 to deliver updated patient-specific information to the MMU 12.
- the MMU 12 communicates directly to the lab system 28 and monitoring device 30.
- the MMU 12 can communicate to the lab system 28 and monitoring device 30 indirectly via the HIS 18, the caching mechanism 20, the medical device 14 or some other intermediary device or system.
- Delivery information input device 32 also communicates with the MMU 12 to assist in processing drug orders for delivery through the MMU 12.
- the delivery information input device 32 can be any sort of data input means, including those adapted to read machine readable indicia such as barcode labels; for example a personal digital assistant (PDA) with a barcode scanner.
- PDA personal digital assistant
- the delivery information input device 32 will be referred to as input device 32.
- the machine readable indicia may be in other known forms, such as radio frequency identification (RFID) tag, two-dimensional bar code, ID matrix, transmitted radio ID code, human biometric data such as fingerprints, etc. and the input device 32 adapted to "read” or recognize such indicia.
- RFID radio frequency identification
- the input device 32 is shown as a separate device from the medical device 14; alternatively, the input device 32 communicates directly with the medical device 14 or may be integrated wholly or in part with the medical device.
- the medication management unit 12 includes a network interface 34 for connecting the MMU 12 to multiple components of a hospital environment 16, one or more medical devices 14, and any other desired device or network.
- a processing unit 36 is included in MMU 12 and performs various operations described in greater detail below.
- a display/input device 38 communicates with the processing unit 36 and allows the user to receive output from processing unit 36 and/or input information into the processing unit 36.
- display/input device 38 may be provided as a separate display device and a separate input device.
- An electronic storage medium 40 communicates with the processing unit 36 and stores programming code and data necessary for the processing unit 36 to perform the functions of the MMU 12. More specifically, the storage medium 40 stores multiple programs formed in accordance with the present invention for various functions of the MMU 12 including but not limited to the following programs: Maintain Drug Library 42; Download Drug Library 44; Process Drug Order 46; Maintain Expert Clinical Rules 48; Apply Expert Clinical Rules 50; Monitor Pumps 52; Monitor Lines 54; Generate Reports 56; View Data 58; Configure the MMS 60; and Monitor the MMS 62.
- the Maintain Drug Library 42 program creates, updates, and deletes drug entries and establishes a current active drug library.
- the Download Drug Library 44 program updates medical devices 14 with the current drug library.
- the Generate Reports 56 program provides a mechanism that allows the user to generate various reports of the data held in the MMU storage medium 40.
- the View Data 58 program provides a mechanism that supports various display or view capabilities for users of the MMU 12.
- the Notifications 59 program provides a mechanism for scheduling and delivery of events to external systems and users.
- the Configure the MMS 60 program provides a mechanism for system administrators to install and configure the MMS 10.
- the Monitor the MMS 62 program enables information technology operations staff capabilities to see the current status of MMS 10 components and processing, and other aspects of day-today operations such as system start up, shut down, backup and restore.
- the MMU 12 as described herein appears as a single device, there may be more than one MMU 12 operating harmoniously and sharing the same database.
- the MMU 12 can consist of a collection of MMU specific applications running on distinct servers in order to avoid a single point of failure, address availability requirements, and handle a high volume of requests.
- each individual server portion of the MMU 12 operates in conjunction with other server portions of the MMU 12 to redirect service requests to another server portion of the MMU 12.
- the master adjudicator 74 assigns redirected service requests to another server portion of the MMU 12, prioritizing each request and also ensuring that each request is processed.
- FIG. 4 is a schematic diagram illustrating several functional components of a medical device 14 for implementing the present invention.
- the device 14 includes many more components than those shown in FIG. 4. However, it is not necessary that all these components be shown in order to disclose an illustrative embodiment for practicing the present invention.
- the medical device 14 is disclosed as an infusion pump. More particularly, the medical device 14 can be a single channel infusion pump, a multi-channel infusion pump (as shown), or some combination thereof.
- a processor 1 18 is included in the medical device 14 and performs various operations described in greater detail below.
- the input/output device 120 allows the user to receive output from the medical device 14 and/or input information into the medical device 14.
- input/output device 120 may be provided as a single device such as a touch screen 122, or as a separate display device and a separate input device (not shown).
- the display screen 122 of the medical pump 14 is a thin film transistor active matrix color liquid crystal display with a multi-wire touch screen.
- a membrane generally impermeable to fluids overlays the display screen 122 so the user can press on images of keys or buttons on the underlying screen with wet gloves, dry gloves or without gloves to trigger an input.
- a memory 124 communicates with the processor 1 18 and stores code and data necessary for the processor 1 18 to perform the functions of the medical device 14. More specifically, the memory 124 stores multiple programs formed in accordance with the present invention for various functions of the medical device 14 including a graphical user interface program 126 with multiple subparts described in greater detail below.
- all the medical devices can periodically broadcast a unique wireless device/channel IP address and/or a self-generated unique machine-readable label (for example, a barcode) 134 or 138 that can also be presented on the screen 122.
- a self-generated unique machine-readable label for example, a barcode
- the machine- readable labels 134 and 138 are physically affixed to or posted on the medical device 14.
- Each medical device will correlate such broadcasted or posted device/channel IP addresses and/or barcodes with a particular patient, who is also identified by a unique machine readable label (not shown) or patient IP address.
- FIG. 5 and 17B illustrates a multi-channel infusion pump 14 with a split touch screen 122 having a first channel screen portion 140 associated with first channel 132 and a second channel screen portion 142 associated with the second channel 136.
- Each channel screen portion 140 and 142 presents a subset of the delivery information regarding the respective channels 132 or 136, including without limitation therapeutic agent name, concentration, dose rate, VTBI, and alarm information, in a font size that it is easily readable by a user from a distance such as, for example, from approximately fifteen to twenty feet (4.6-6.2 meters) away.
- the delivery screen displays a near view when the user is programming the device as illustrated by FIG. 5A.
- the near view delivery screen will switch to the far view delivery screen after a predetermined period of time that is predetermined by the manufacturer, configurable by the facility via the drug library, and/or set by the caregiver at the pump, for example after 20 seconds.
- the user does not want to wait for the predetermined length of time to view the far screen.
- FIGS. 17A to 17C illustrate one embodiment of a medical device that allows the user to switch from the near view screen to the far view screen and vice versa at any time, in accordance with the present invention.
- FIG. 17A illustrates a near view screen for channel A 1705.
- the user touches anywhere within the body 1710 of the near view screen. Touching the body 1710 of the near view screen displays the far view screen 1720 illustrated in FIG. 17B. Referring to FIG. 17B, upon a user touching one of the tabs "A" or “B” or anywhere on the channel screen portions 1725 or 1730 of the far view delivery screen, a “near view” delivery screen is presented on the screen (FIG. 17C). In one embodiment, the user touches a "hotspot" or special toggle button within the body of the current display screen to return to either the far view screen or the near view screen.
- Program 1800 begins at block 1801 and progresses to block 1802 where the program determines that the near view delivery screen is displayed.
- program 1800 progresses in block 1804 to block 1803 when a near view time out elapses.
- program 800 moves from block 1802 to block 1803 when a user touches the near view hotspot in block 1805.
- Program 1800 may return to the near view screen, block 1802, from the far view screen, block 1803, when a user touches the far view screen in block 1806.
- the channel screen portion 140 or 142 selected or corresponding to the tab selected expands in area but the size of at least some of the text therein is shrunk, as shown in FIG. 17A.
- the shrinkage of one of the channel screen portions 140 and 142 and enlargement of its counterpart provides additional space for one or more data display or data entry fields to be placed on screen 122, as shown in FIG. 5A.
- data displays or data entry fields are placed on screen 122 in space previously occupied by portions of the channel screen portion 140 or 142.
- This reallocation of space on screen 122 permits the user to enter inputs more easily since the data entry field can be large, preferably at least as large or, more preferably, larger in area than the original channel screen portions 140 and 142 were in the delivery screen mode. Additionally, the reallocation of space on screen 122 provides greater space for presenting information on the channel being adjusted or monitored. Further details on the reallocation of screen 122 and the near view and far view delivery screens can be found in commonly owned and co-pending application USSN 1 1/103,235 entitled USER INTERFACE IMPROVEMENTS FOR MEDICAL DEVICES filed on April 1 1 , 2005, which is expressly incorporated herein in its entirety.
- the LCD color touch screen 122 allows the user to access and use on-screen button images, for example 3D button images, and data entry fields.
- the touch screen 122 uses a membrane over the LCD display so a single keypress does not cause significant infusion pole movement nor is it mistaken for a double keypress.
- the touch screen also accommodates a keypress whether the user is wearing wet gloves, dry gloves, or no gloves.
- Channel Level Therapy Buttons 145- accessed by button images on the infuser touch screen, are used to select an infusion therapy
- Program Level Buttons 147-accessed by pressing areas, dropdown list triangles, boxes or text boxes on the programming screen are used to select dose parameters of an infusion
- Device Level Buttons 149A-149E at the bottom of the touch screen are used to display and control device level features, including without limitation Mode 149A (for example, Operational or Biomed), Logs 149B, Locks 149C, Settings 149D, and Calculator display 149E.
- a wireless indicator image 102 displayed at the bottom of the screen 122 indicates that the device 14 is connected and ready for communication.
- the healthcare practitioner can program each individual channel of the pump with specific fluid therapies in a variety of weight- and body surface area-based units such as micrograms/kg/hour, grams/m 2 /hr, and other delivery specifications for the following modes:
- Bolus delivery -allows user to program a single uninterrupted discrete delivery based on dose amount and time (the bolus can be delivered from the primary or a secondary container);
- Piggyback delivery -allows user to program the delivery of a secondary infusion, to be delivered through the same cassette as the primary infusion (the primary infusion is paused until the piggyback VTBI completes); and Advanced Programming.
- the graphical user interface 126 provides quick titration buttons 1910, 1912 presented on a far view screen 122, 1922.
- FIG. 19A illustrates quick titration buttons for VTBI 1910 and Rate 1912.
- graphical user interface 1922 may also have a quick titration button for "dose" or other titration parameters.
- Quick titration buttons 1910, 1912 operate as explode or active buttons that when pressed take a user to a standard data entry field for data entry when the button is selected. In this manner, with one press of a button the user can be quickly taken to the desired data entry location rather than having to back track through several screens as is common.
- FIGS. 19A to 19G illustrate the use of the VTBI quick titration button 1910.
- the user presses quick titration button 1910 (FIG. 19A) to bring up data entry field 1930 in FIG. 19B.
- data entry field is a numerical keypad for entering a value for the VTBI.
- FIG. 19D illustrates that the user pressed the enter button 1950 to accept and change the VTBI entry.
- the user has the option to press "Next A” 1955 to continue, "Cancel Titration” 1960 to cancel the titration, or Options 1965 to edit the program.
- FIG. 19E illustrates that the user pressed “Next A” 1955 to continue.
- FIG. 19E illustrates a confirmation screen 1970.
- the user is instructed to press "Start Titration A" 1975 to confirm the VTBI change and begin the infusion.
- the user can stop the titration by pressing "Stop Basic A” 1985.
- the near view screen 1980 illustrated in FIG. 19F returns to a far view screen 1990 shown in FIG. 19G.
- FIG. 20 is a flow chart of a program 2000 for operating quick titration buttons for "dose,” “rate” and "VTBI” as discussed above.
- Program 2000 begins at block 2001 and progresses to block 2005 which indicates that the pump is delivering an infusion and displaying the far view delivery screen (see FIG. 19A).
- Program 2000 moves to block 2010 when a user presses one of the quick titration buttons 1910, 1912.
- the program 2000 changes the display to the programming screen for the therapy which is currently delivering (e.g. Channel A or B).
- program 2000 determines at blocks 2020 and 2025 which button was pressed.
- the drug library located within the medication management system and downloaded to the medical device, can be configured to display either the VTBI or the volume infused as a default setting on the far view delivery screen.
- the user can change the default setting at the medical device, as provided in more detail below.
- the CCA is the Intensive Care Unit (ICU), though it should be understood that device settings for other CCAs may be similarly configured.
- the drug library includes drug and device related information, which may include but is not limited to drug name, drug class, drug concentration, drug amount, drug units, diluent amount, diluent units, dosing units, delivery dose or rate, medication parameters or limits, device/infuser settings and/or modes, CCA designations and constraints, and library version.
- the drug library may be configured to provide a medical device 14 that includes a customized display.
- the display is customized based on the Clinical Care Area (CCA) the medical device 14 is located in, assigned to, and/or to be assigned to.
- CCA Clinical Care Area
- the administrator sets the "default far view setting" 1405 to either VTBI 1410 or volume infused 1415.
- FIG. 14 shows that VTBI 1410 has been selected as the default far view setting 1405.
- graphical user interface 600 of an input device 38 within MMU 12 that is used to configure, within a medication management system all of the associated medical devices 14 as a part of the master infuser setup 610.
- graphical user interface 600 is used by authorized personnel to configure medical device programming parameters.
- Infusion devices such as the pump 14 require an administration set to perform the infusion.
- the administration set is a cassette.
- Prior art devices require that the cassette be in place prior to programming the pump for an infusion.
- the drug library via the master infuser setup 610, can be configured by a hospital administrator based on hospital policy and procedure.
- FIGS. 6A and 6B illustrate the configurable parameter 620 of allowing programming of infusion pumps with or without a cassette in place.
- an administrator may choose to allow programming without a cassette by selecting "yes" 630 (FIG. 6B) or disallow programming without a cassette by selecting "no" 640 (FIG. 6A).
- FIG. 7A illustrates a warning message 720 that appears on screen 700 when a user tries to program the medical device without a required cassette. Once the cassette is loaded, the programming can continue.
- FIG. 9A illustrates that a therapy is delivering on channel A 910 with the ICU CCA 915.
- a user wants to change the CCA and program Channel B 920.
- the user selects channel B by pressing tab B 925, which brings up the channel B programming display screen 930 shown in FIG. 9B.
- the patient information button 940 has been pressed. Pressing the patient information button displays a patient information data field 950 for entry of patient data and changing the CCA 960.
- a "Change CCA" message 965 appears requesting that the user confirm that the CCA is to be changed (FIG.9D).
- the user wants to change the CCA from ICU to Gen Med.
- the user presses the "yes” button 970.
- a "multiple CCAs” system message 975 appears.
- the user presses the "OK” button 980.
- the OK button 980 has been pressed, the CCA has been changed at 985 and a "Done” button 990 is displayed to continue with the programming of the infusion at infusion screen 995 (FIG. 9G).
- Program 1000 for changing the CCA at a multi-channel medical device 14.
- Program 1000 starts at 1001 and proceeds to block 1005 where it is determined that the user has changed the CCA.
- Program 1000 determines at block 1010 whether the new CCA is the same as the old CCA for Channel A. If yes, the program proceeds to block 1020 to retain the old CCA on Channel A. If no, program 1000 proceeds to block 1015 to determine whether channel A is idle. If yes, program accepts the new CCA on channel A at block 1025.
- channel B is evaluated.
- Program 1000 proceeds from block 1005 to block 1035 to determined whether the new CCA is the same as the old CCA for Channel B. If yes, the program proceeds to block 1045 to retain the old CCA on Channel B. If no, program 1000 proceeds to block 1040 to determine whether channel B is idle. If yes, program 1000 accepts new CCA on channel B, block 1050. If no, channel B is set to wait at block 1055 until either 1 ) the user changes the CCA while waiting for channel B (block 1070), whereby program 1000 proceeds to 1005; or 2) channel B becomes idle (block 1075), whereby program 1000 proceeds to block 1050 and accepts the new CCA on channel B.
- Program 1 100 for changing the CCA at a single channel medical device.
- Program 1 100 starts at 1 101 and proceeds to block 1 105 where it is determined that the user has changed the CCA.
- Program 1 100 then determined at block 1 1 10 whether the new CCA is the same as the old CCA. If yes, the program proceeds to block 1 120 to retain the old CCA. If no, program 1 100 proceeds to block 1 1 15 to determine whether the channel is idle. If yes, program 1 100 accepts the new CCA, block 1 125.
- the channel is set to wait at block 1 130 until either 1 ) the user changes the CCA while waiting (block 1 160), whereby program 1 100 proceeds to 1 105; or 2) the channel becomes idle (block 1 170), whereby program 1 100 proceeds to block 1 125 and accepts the new CCA.
- FIGS. 12 A to 12F illustrate, using a series of screen shots, one embodiment of a program for modifying the VTBI delivery parameter.
- a basic infusion is delivering on channel A, as shown by screen display 1200.
- FIG. 12A shows that the remaining VTBI is 45.3 ml_.
- FIG. 12B illustrates that the user has pressed "basic" button 1210.
- a data entry field 1220 appears based on the pressing of the basic button 1210.
- the user can press the particular field to edit.
- FIG. 12C illustrates that the user pressed the VTBI button 1230 to edit the VTBI.
- FIG. 12E a confirmation of titration screen 1275 has appeared to confirm the new VTBI.
- the user confirms the change to the VTBI by pressing "Start Titration" button 1280.
- FIG. 12F illustrates that the infusion has been updated with the new VTBI and is continuing to run.
- the method illustrated in FIGS. 12A to 12F is used to add to the VTBI the fluid remaining in the fluid container that is currently infusing.
- the user may add a new container of fluid as long as all other delivery parameters remain the same as the currently running infusion.
- Method 1300 for adding additional VTBI to a current infusion. Method 1300 starts at block
- Method 1300 continues at block 1310 where the programmed VTBI reached zero and the KVO delivery starts.
- a user accesses a VTBI programming screen 1220 and enters a VTBI value 1245. The user confirms the new value at block 1320 and starts the new delivery.
- Method 1300 ends at 1325.
- One skilled in the art will appreciate from the disclosure herein that such adding of VTBI can also be adapted for use in bolus or piggyback situations.
- one embodiment of the present invention provides for improved callback rules for the medical device.
- Medical devices generally have three classes of callback alarms based on urgency: High Urgency (e.g. Air-ln-Line); Medium Urgency (e.g. Inactivity callback); and Low Urgency (e.g. Battery not Charging).
- the alarms are configured at the drug library.
- the alarms are configured at the drug library based on the CCA in which the medical device resides.
- the alarms are configured at the drug library master infuser settings so that the alarm configurations apply to all medical devices within the medication management system.
- the alarms are configurable by the clinician at the medical device. For example, in one embodiment, default alarm settings were configured at the drug library, and sent to the medical device where, depending on the alarm configuration rules set by the hospital administration, a clinician may modify the alarm based on factors such as the particular CCA, or personal preference.
- the audio volume when an audible alarm occurs at the medical device, the audio volume starts at the volume setting configured at the drug library and or by the clinician. However, if the alarm is not acknowledged, the volume is automatically escalated to a predetermined volume after a predetermined time out period passes.
- the time out period is configurable at the drug library. In another embodiment, the time out period is configurable at the drug library for each particular CCA. In yet another embodiment, the time out period is configurable at the medical device. In another embodiment, a default value for the time out period is set at the drug library and may be changed at the medical device to a value that does not exceed the default value.
- the volume escalates for only those alarms in the High Urgency class of alarms. In other embodiments, the volume escalates for both High Urgency and Medium Urgency classes of alarms.
- the alarm tone escalates after a predetermined time out period if the alarm is not acted upon.
- a default tone set at the drug library may be configurable by a user at the medical device.
- the pitch of the tone becomes higher when the alarm escalates due to the non-response of the clinician.
- the alarm comprises a predetermined tone melody.
- a different tone melody is chosen for each class of alarm urgency or priority.
- the High Urgency audible alarm is a sequence of six or seven tones that continually repeat until the alarm is acted upon by the clinician.
- a brief pause of the tone sequence (melody) occurs between each repeat of the sequence.
- the melody for the High Urgency alarm also escalates in volume with continued inactivity by the clinician.
- the volume of the melody escalates after a predetermined length of time.
- the escalation of volume is configured at the drug library.
- the volume escalation is set as a default in the drug library and is further configurable at the medical device by the clinician.
- the Medium Urgency audible alarm is a sequence of three tones.
- the tone sequence (melody) repeats after a predetermined length of time if the clinician has not responded to the alarm.
- the predetermined length of time is 1 to 2 minutes.
- the predetermined length of time is from 1 to 60 seconds.
- the predetermined length of time is configured at the drug library.
- the predetermined length of time is set as a default at the drug library and is further configurable by the clinician at the medical device.
- the High Urgency alarms are configured to have a melody with a very fast paced tempo. While the lesser urgency alarms have a melody with a slower paced tempo.
- an alarm comprising a melody escalates in tempo when the alarm is not responded to by the user.
- the alarm is configurable by the user at the medical device to a melody of the user's choice.
- a melody may be assigned to each user whereby the user sets the alarm on each medical device the user is responsible for to that one melody. In this manner, any one user in a location with multiple users can identify by sound that the alarm is for a medical device of a patient under their specific care.
- FIG. 21 A illustrates a screen shot of a medical device showing that a channel level callback alarm 21 10, 21 15 has sounded for each channel A and B where a therapy was partially programmed and no other action was taken by the user.
- FIG. 21 B illustrates a device level callback alarm 2120 has appeared because no keypress was made while a popup 2125 was displaying.
- Program 2200 begins at 2201 and proceeds to block 2205 where an alarm has been activated.
- program 2200 determines whether the clinician has acknowledged the alarm during a timeout period. If yes, program 2200 proceeds to end at 2235. If no, program 2200 proceeds to block 2215 where a determination is made as to whether the current volume is at a maximum level. If no, program proceeds to block 2220 where the program increases the alarm volume. If yes at block 2215, program 2200 proceeds to block 2225 to determine whether the melody is at a High Urgency and has a melody change been configured. If yes, program 2200 proceeds to end at 2235. If no at block 2225, program 2200 proceeds to block 2230 to change the melody. Program 2200 then proceeds to end at block 2235. .
- an alarm When an alarm occurs on a medical device it may apply to the entire device (e.g. low battery) or it may only apply to a specific channel (e.g. inactivity callback on channel A). If the alarm is channel specific, the user needs to navigate to the channel to view what is causing the callback.
- a device program automatically takes the user to the precise location of the alarm when the user touches the alarm display area on the display screen as will be described below with reference to FIGS 23A to 23C.
- FIGS. 23A to 23C are screen shots of a display interface for a multichannel infusion pump.
- the infusion pump has a therapy programmed for both channel A and channel B.
- Channel A is idle waiting for the bolus programmed on channel B to complete.
- FIG. 23A shows that an alarm 2310 has occurred on channel B based on the completion of the bolus infusion programmed on channel B.
- the drug library or the user had previously configured the pump to stop the infusion or request the pump generate a callback to them when the bolus was complete.
- alarm tab B 2315 the user is taken directly to the display screen 2320 for channel B. Display screen for channel B indicates that the bolus is completed.
- FIG. 23A also illustrates that an alarm 2325 has occurred for channel A.
- the user presses alarm tab A 2330 the user is taken directly to display screen 2335shown in FIG. 23C.
- Display screen 2335 indicates to the user the pump is waiting for input from the user. The user must clear the alarm and provide the necessary input before the infusion scheduled on channel A may be started by pressing Start 2340.
- the ability for a user to navigate quickly to the cause of the alarm improves efficiency of the user as well as workflow. Additionally, the ability to navigate directly to the cause of the alarm decreases or eliminates errors that may occur if the user had to take many steps to navigate to the appropriate display screen.
- Program 2400 begins at block 2401 and proceeds to block 2405 where an alarm has been activated. In response to the alarm, an acknowledgement is received from the user in response to the user pressing an alarm tab in block 2410. Program 2400 determines at block 2415 whether the alarm was for channel A. If yes, the program proceeds to block 2420 where the program navigates to the screen on channel A from where the alarm is arising if the current screen is allowed to be navigated away from. At block 2425, the user takes appropriate action in relation to the alarm.
- program 2400 proceeds to block 2430 where it is determined whether the alarm is for channel B. If yes, the program proceeds to block 2435 where the program navigates to the screen on channel B from where the alarm is arising if the current screen is allowed to be navigated away from. If at block 2430, the alarm is not for channel B, program 2400 proceeds to block 2440. At block 2440, the program determines that no navigation is required and proceeds to block 2425 where the user is instructed to take a specific action. Program 2400 ends at 2445.
- the drug library may be configured to allow for a dose back calculation during the programming of an infusion delivery.
- a dose-based therapy e.g. weight or BSA based therapy
- the user must enter the dose first before being allowed to enter the rate.
- the rate In certain clinical scenarios it is preferable for the user to enter the rate first and the dose is calculated from the rate. Providing this flexibility to the user and the hospital administration allows for increased efficiency and better work flow.
- FIG. 25 illustrates a graphical user interface 2500 for configuring a drug library.
- a default "dose back calculate” can be set at 2510. To enable the dose back calculation at the medical device, an administrator selects “enabled” 2520. To disable the dose back calculation at the medical device, the administrator selects "disabled” 2530.
- FIG. 26A is a screen shots of a medical device that allows for the dose back calculation as determined within the drug library. The user is allowed to enter dose, rate, etc. in any order as further described below.
- FIG. 26B is a screen shot of a medical device that disallows for the dose back calculation as determined within the drug library. The user is forced by the user interface to enter the dose first.
- Program 2700 begins at 2701 and proceeds to block 2705 where the program determines if the user selected a dose-based drug. If not, program 2700 proceeds to block 2710 where program 2700 determines whether the dose back calculation is enabled at the drug library. If yes, program 2700 proceeds to block 2715, where program 2700 enables dose, rate, VTBI, time and/or weight/BSA fields. Program 2700 proceeds to 2720 where it is determined whether the user entered the dose or the rate. If dose, program 2700 proceeds to block 2725 to calculate rate based on the provided dose. If rate, program 2700 proceeds to block 2735 to calculate the dose based on the provided rate.
- program 2700 proceeds to block 2740 where program 2700 enables a dose field as well as weight/BSA if required.
- Program 2700 proceeds to block 2745 where a dose is provided as well as weight/BSA if required.
- a rate is calculated based on the entered dose.
- Program 2700 proceeds to block 2755 where rate, VTBI and time fields are enabled. Program 2700 ends at 2730.
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Abstract
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PCT/US2008/087484 WO2009079640A2 (fr) | 2007-12-18 | 2008-12-18 | Améliorations d'interface utilisateur pour des dispositifs médicaux |
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CA (3) | CA2709193C (fr) |
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- 2008-12-18 WO PCT/US2008/087484 patent/WO2009079640A2/fr active Application Filing
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- 2008-12-18 EP EP08862094.3A patent/EP2231127A4/fr not_active Withdrawn
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